Independent living, emotional well-being, and quality of life in people with disabilities : the mediator role of self-determination and satisfaction with participation
Cegarra, Blanca (Institut Germans Trias i Pujol. Institut Guttmann)
Cattaneo, Gabriele (Universitat Autònoma de Barcelona. Departament de Medicina)
Ribes, Alina (Universitat Autònoma de Barcelona. Departament de Medicina)
Solana-Sánchez, Javier (Universitat Autònoma de Barcelona. Departament de Medicina)
Saurí, Joan (Universitat Autònoma de Barcelona. Departament de Medicina)

Data:	2023
Resum:	In the field of disability and rehabilitation, participation in society has become an important therapeutic objective due to its potential impact on rehabilitation, prognosis, and patient's mid and long-term well-being. However, only a few studies have explored this issue in relation with the subjective perspective of individuals with disabilities about their decision-making capacity and satisfaction with the activities in which they participate. Our aim is to analyze the relationship between participation in society of people with disabilities and both emotional well-being and quality of life, including variables about subjective perspective of participation (satisfaction) and the ability to decide and pursue their own preferences. The cross-sectional study presented here includes 424 participants with disabilities over 18-years-old from Spain. This research is part of a larger ongoing longitudinal cohort study called Participa (). Participants were asked to complete several on-line surveys to explore quality of life, emotional well-being, participation in society, self-determination, and independent living. The results revealed an association between the dimensions of participation satisfaction, self-determination, and levels of independent living with both quality of life and emotional well-being. Mediation models indicated that satisfaction and self-determination partially mediated the relationship between independent living and both quality of life and emotional well-being. The level of independent living, self-determination, and satisfaction with participation are fundamental aspects for promoting a high quality of life and emotional well-being in people with disabilities. These findings carry significant implications for health and social services, as well as policies guidelines, highlighting the need to prioritize empowerment and self-determination in all interventions designed for people with disabilities.
Ajuts:	Fundació la Marató de TV3 202211_30
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Participation ; Independent living ; Emotional well-being ; Quality of life ; Disability ; Self-determination
Publicat a:	Frontiers in psychology, Vol. 14 (december 2023) , ISSN 1664-1078

DOI: 10.3389/fpsyg.2023.1279014
PMID: 38187437

8 p, 586.1 KB

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